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United Kingdom Asian Diabetes Study
Source of recordUK Trials
ISRCTNISRCTN38297969
Date ISRCTN assigned14/09/2005
Local reference number(s)2
Public titleUnited Kingdom Asian Diabetes Study
Scientific title
AcronymUKADS
Disease/condition/study domainType 2 diabetes
Study hypothesisStructured care for diabetes, tailored to the needs of the Asian community, will improve surrogate endpoints for diabetic complications (and by extrapolation morbidity and mortality) in South Asian patients with type 2 diabetes. This will require the extra resources of Asian link workers, additional practice nurse time and community Diabetes Specialist Nurse input, working to protocols with clearly defined targets.
Design/methodologyRandomised controlled trial
Research ethics reviewNot provided at time of registration.
Countries of trialUnited Kingdom
Participants - inclusion criteriaPatients of South Asian ethnic background with type 2 diabetes.
Participants - exclusion criteria1. Patients not of South Asian ethnic background
2. Diabetes other than type 2 diabetes
Patient information material
Anticipated start date01/03/2004
Anticipated end date01/03/2007
Status of trialCompleted
Target number of participants1800
InterventionsA complex intervention package comprising specialist diabetes nurse co-ordinators working with practice nurses to implement protocols for the treatment of blood pressure, blood lipid and blood glucose levels. The protocols use simple treatment algorithms and have strict targets. Practice nurse time and training are protected and enhanced, and practice nurses work with Asian link workers to facilitate cultural acceptability of treatment and compliance. DNA samples will be prepared in order to investigate the genetic determinants of high density lipoprotein (HDL) cholesterol levels and latent autoimmune diabetes of adults (LADA), the genetic susceptibility to microalbuminuria and candidate susceptibility genes for type 2 diabetes and components of the metabolic syndrome.
Control: usual care
Primary outcome measure(s)Acheivement of targets as set out in treatment algorithms:
1. Blood pressure (130/80 mmHg)
2. Lipid profile (total cholesterol less than 4.0 mmol/l, low density lioprotein [LDL] cholesterol less than 2.5 mmol/l, triglycerides less than 2.0 mmol/l)
3. Glycaemic control (HbA1c less than 7.0%)
Secondary outcome measure(s)1. Development and progression of microalbuminuria and proteinuria
2. Mortality from any cause
3. Micro- and macro-vascular complications
PublicationsResults in http://www.ncbi.nlm.nih.gov/pubmed/15569141
Sources of funding1. Pfizer Ltd (UK)
2. Sanofi-Aventis (UK)
3. Servier Laboratories Ltd (UK)
4. Merck, Sharp and Dohme - Schering Plough Limited (UK)
5. Takeda Ltd (UK)
6. Merck Pharmaceuticals (UK)
7. Eli Lilly and Company Limited (UK)
8. Novo Nordisk Ltd (UK)
9. Boehringer Ingelheim GmbH (Germany)
10. British Heart Foundation (UK)
Sponsor nameHeart of England NHS Foundation Trust (UK)
Sponsor detailsBirmingham Heartlands Hospital
Bordesley Green East
Birmingham
United Kingdom
B9 5SS
Sponsor telephone+44 (0)121 424 3632
Sponsor emailelizabeth.adey@heartofengland.nhs.uk
Contact nameProf Anthony Barnett
Contact detailsUndergraduate Centre
Birmingham Heartlands Hospital
Bordesley Green East
Birmingham
United Kingdom
B9 5SS
Contact telephone+44 (0)121 424 3587
Contact fax+44 (0)121 424 0593
Contact emailanthony.barnett@heartofengland.nhs.uk
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN38297969
Date last extracted from ISRCTN register17/04/2008
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